Tseng W-S, Huang N-C, Huang W-S, Lee H-C
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan, Division of Neurology, Department of Internal Medicine, Hualien Armed Forces General Hospital, Hualien 97144, Taiwan.
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, Division of Family Medicine, Department of Community Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan.
Occup Med (Lond). 2015 Dec;65(9):758-60. doi: 10.1093/occmed/kqv145. Epub 2015 Sep 23.
Neurological decompression sickness (DCS) is a rare condition that commonly leads to spinal cord injury. We report the case of a 30-year-old man who developed left-sided weakness and numbness after diving to a maximum depth of 15 m with a total dive time of 205min (10 repetitive dives). To the best of our knowledge, only six cases diagnosed as Brown-Séquard syndrome caused by DCS have been reported in the literature. Divers should be aware of the risk factors of DCS before diving and clinicians should make the diagnosis of spinal cord DCS based primarily on clinical symptoms, not on magnetic resonance imaging findings.
神经性减压病(DCS)是一种罕见疾病,通常会导致脊髓损伤。我们报告一例30岁男性病例,该患者在潜水至最大深度15米、总潜水时间为205分钟(10次重复潜水)后出现左侧肢体无力和麻木。据我们所知,文献中仅报道了6例诊断为由DCS引起的布朗 - 塞卡尔综合征病例。潜水员在潜水前应了解DCS的危险因素,临床医生应主要根据临床症状而非磁共振成像结果来诊断脊髓型DCS。